Using Consent Forms Burlington NJ

When a rehab program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse.

Counseling Solutions
(609) 386-1155
19 West Broad Street
Burlington, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Hampton Behavioral Health Center
(609) 267-7000x2148
650 Rancocas Road
Westampton, NJ
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Livengrin Counseling Center
(215) 547-1440
1609 South Woodbourne Road
Levittown, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
SODAT of New Jersey Inc
(609) 265-7884
60-62 High Street
Mount Holly, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Lester A Drenk Behavioral Health Ctr
(609) 267-1377
795 Woodlane Road
Mount Holly, NJ
Hotline
(609) 835-6180
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Burlington Comp Counseling Inc
(609) 267-3610
75 Washington Street
Mount Holly, NJ
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish, Tagalog

Data Provided by:
Libertae Inc
(215) 639-8681
5245 Bensalem Boulevard
Bensalem, PA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Aldie Counseling Center
(215) 642-3230x104
3369 Progress Drive
Bensalem, PA
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women
Language Services
Spanish

Data Provided by:
Livengrin Foundation Inc
(215) 638-5200x142
4833 Hulmeville Road
Bensalem, PA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

Data Provided by:
New Day Behavioral Healthcare Inc
(215) 949-2255
1609 Woodbourne Road
Levittown, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Data Provided by:

Using Consent Forms

Using Consent Forms

The fact that a client has signed a valid consent form authorizing the release of information does not mean that a program must make the proposed disclosure, unless the program has also received a subpoena or court order (§§2.3(b)(1); 2.61(a)(b)). In most cases, the decision whether to make a disclosure authorized by a client’s signed consent is up to the program, unless State law requires or prohibits a particular disclosure once consent is given. The program’s only obligation under the Federal regulations is to refuse to honor a consent that is expired, deficient, or otherwise known to be revoked, false, or incorrect (§2.31(c)).

In general, it is best to follow this rule: Disclose only what is necessary, for only as long as is necessary, keeping in mind the purpose for disclosing the information.

Using consent forms to seek information from collateral sources

Making inquiries of families, partners, schools, employers, doctors, and other health care providers might, at first glance, seem to pose no risk to a client’s right to confidentiality. But it does.

When a program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse. The Federal regulations generally prohibit this kind of disclosure unless the clie...

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